Anti-CD47 monoclonal antibody and use thereof

ABSTRACT

An anti-CD47 monoclonal antibody and use thereof. The provided anti-CD47 monoclonal antibody can effectively inhibit tumor growth. Blocking human SIRP and human CD47 signals may enhance macrophage phagocytosis of tumor cells, prevent the tumor cells from escaping a tumor immune defense system, and have an anti-tumor function. Blocking association between the CD47 on a tumor cell surface and the SIRP on a macrophage surface may block a “do not eat me” signal from the tumor cells, promoting tumor cell recognition and uptake of macrophages, and thereby facilitating tumor cells to be phagocytosed. The association between the CD47 on a tumor cell surface and the SIRP on a macrophage surface is a common “do not eat me” signal. The anti-CD47 antibody, as a very promising target in the tumor immune system, will play a powerful and effective role in human cancer therapy.

The present application is a Continuation-in-Part of U.S. patent application Ser. No. 16/310,748 filed on Dec. 17, 2018, which is national stage application of PCT/CN2017/088013 filed on Jun. 13, 2017, which claims priority to Chinese patent application No. 201610436519.3 filed with the Chinese Patent Office (SIPO) on Jun. 17, 2016, entitled “An anti-CD47 monoclonal antibody and use thereof”. The disclosure of each of the forgoing applications is incorporated herein by reference in its entirety.

TECHNICAL FIELD

The present invention relates to the technical field of antibody drugs, specifically, to an anti-CD47 monoclonal antibody and use thereof.

BACKGROUND ART

CD47

CD47, also known as integrin-associated protein (TAP), was originally found from co-purification of human placenta and integrin αVβ₃ and co-immunoprecipitation of platelets and β₃ integrin. It is a transmembrane glycoprotein widely expressed on cell surface, and belongs to the immunoglobulin superfamily.

CD47 is a crucial marker on cell surface, with a molecular weight between 47 kD and 55 kD. It structurally includes an amino-terminal extracellular variable region, a transmembrane region composed of 3 to 5 highly hydrophobic transmembrane segments and a hydrophilic carboxy-terminal cytoplasmic tail. It interacts with a variety of ligands such as integrins, SIRPα (signal regulatory protein α), SIRPγ, and thrombospondin.

SIRPα

Signal regulatory protein α (SIRPα) is also a transmembrane protein expressed primarily on the surface of macrophages, dendritic cells and nerve cells. Its extracellular domain contains three immunoglobulins superfamily-like regions in which the N-terminal region mediates the binding to CD47 and its intracellular domain has a typical immunoreceptor tyrosine inhibitory sequence (ITIM). Upon binding to CD47, ITIM of SIRPα is phosphorylated, and a cascade reaction occurs, and the phagocytosis of macrophages is inhibited.

CD47/SIRPα is Involved in the Mechanism of Tumor Immune Escape

In the innate immune system, CD47, as a marker of self, functions by transmitting an inhibitory “do not eat me” signal through binding with SIRPα expressed by myeloid cells such as macrophages, neutrophils, and dendritic cells. Thus, the broad expression of CD47 under physiological conditions is to protect healthy cells from being eliminated by the innate immune system. However, tumor cells effectively escape immune surveillance by overexpressing CD47.

In recent years, the CD47 and CD47-SIRPα signaling systems have received extensive attention. Among them, the most remarkable thing is that it is a potential drug target for cancer treatment. Studies have confirmed that CD47 expression is unregulated in most human cancers (eg, NHL, AML, breast cancer, colon cancer, glioblastoma, glioma, ovarian cancer, bladder cancer, and prostate cancer), and the elevated level of CD47 expression is associated with invasive diseases and poor survival. Weissman of the Stanford University systematically studied the expression level of CD47 in various solid tumors. The results indicated that all human solid tumor cells showed high expression of CD47, and the average expression level was about 3.3 times higher than that of normal cells. Moreover, they found that the level of CD47 mRNA in patients with solid tumors was negatively correlated with the prognostic index.

Further experiments on xenograft animal models of in situ immunodeficient mouse have found that administration of anti-CD47 monoclonal antibodies can inhibit the growth and metastasis of large tumors, and can cure small tumors. Willingham et al. also demonstrated the efficacy and safety of anti-CD47 monoclonal antibodies in an experiment with a mouse model of in situ breast cancer. This study not only confirmed that high expression of CD47 is a common mechanism for tumor cells to evade immune surveillance, but also provided valuable reference for the treatment of tumors by blocking CD47-SIRPα signaling pathway.

Therapeutic Anti-CD47 Antibody

CD47 is highly expressed in many types of tumors and acts as a “do not eat me” signal to inhibit phagocytosis, which means that targeting the CD47-SIRPα pathway can be used as a therapeutic method for many types of tumors.

Through in vitro and in vivo experiments, RAUH et al. demonstrated that anti-CD47 blocking monoclonal antibody can promote macrophage phagocytosis of tumor cells, inhibit the formation of acute myeloid leukemia (AML) in mice, and eliminate AML that has been successfully transplanted in vivo. It can also perform targeted elimination of leukemia stem cells (LSC). Study of CHAO et al. on acute lymphoblastic leukemia has found that anti-CD47 monoclonal antibody combined with rituximab can not only eliminate tumors in the original transplant site, but also eliminate tumors in blood circulation and tumors that spread to the liver, spleen, lymph nodes, etc., thereby achieving the effects of long-term survival and inhibition of tumor recurrence, while the use of anti-CD47 monoclonal antibody or anti-CD20 monoclonal antibody alone can only inhibit the growth rate of NHL but can not completely eliminate NHL.

In order to further confirm the effect of anti-CD47 monoclonal antibody on tumors, WILLINGHAM et al. establishes a xenograft tumor model using immunocompetent mouse. It was confirmed that anti-mouse and anti-human CD47 monoclonal antibodies both significantly inhibit tumor growth and anti-CD47 antibodies can eliminate a variety of solid tumors and inhibit tumor metastasis and recurrence. In addition, anti-CD47 monoclonal antibody also has an anti-tumor effect on cancer stem cells (CSC) and its differentiated subtypes, and can transform tumorigenic TAM into anti-tumor effector factors and enhance their phagocytosis. Inhibition of CD47 expression of mouse can also enhance the sensitivity of tumor cells to radiotherapy, while it has a protective effect on normal tissues, which may be associated with the induction of protective autophagy in host immune cells.

Treatment of tumors with anti-CD47 monoclonal antibodies is associated with a variety of mechanisms. First, anti-CD47 monoclonal antibodies block the binding of the CD47 on a tumor cell to SIRPα on a macrophage and thereby make tumor cells to be phagocytosed. Second, with respect to antibody-dependent and cell-mediated cytotoxicity and complement-dependent cytotoxicity, studies have found that anti-CD47 antibodies can induce cytotoxicity against head and neck tumor cells in which NK cells are involved. Third, tumor cells are eliminated by direct induction of apoptosis. Finally, studies on immunocompetent mice revealed that anti-CD47 monoclonal antibodies can activate CD8⁺ T cells, induce acquired T cell immune responses, and further kill tumor cells.

With the deepening of research on the tumor developing molecular mechanism, immunotherapy has gradually become another effective treatment means in addition to the treatments such as surgery and chemical drugs. At present, the role of biotherapy in the treatment of tumors has been increasing year by year. Biotherapy has many advantages in preventing tumor recurrence, treating advanced cancer and its complications. Therefore, there is a need for antibodies and treatments that are capable of targeting CD47.

SUMMARY OF THE INVENTION

In view of the above, the technical problem to be solved by the present invention is to provide an anti-CD47 monoclonal antibody and use thereof. The anti-CD47 monoclonal antibody provided by the present invention can bind human CD47 and monkey CD47, and can block the binding between human SIRP and human CD47 in a dose-dependent manner, and thus promote macrophage phagocytosis of tumor cells. By blocking the binding signal between SIRP and human CD47, tumor cells are prevented from escaping a tumor immune defense system, thus achieving an anti-tumor effect.

The anti-CD47 monoclonal antibody provided by the present invention has a heavy chain variable region and a light chain variable region:

(I) the amino acid sequence of the heavy chain variable region is represented by SEQ ID NO: 1 or SEQ ID NO: 2 or SEQ ID NO: 3 or SEQ ID NO: 4 or SEQ ID NO: 5 or SEQ ID NO: 6 or SEQ ID NO: 7;

(II) the amino acid sequence of the light chain variable region is represented by SEQ ID NO: 8 or SEQ ID NO: 9 or SEQ ID NO: 10 or SEQ ID NO: 11 or SEQ ID NO: 12 or SEQ ID NO: 13 or SEQ ID NO: 14;

(III) an amino acid sequence obtained by substituting or deleting one or more amino acids of the amino acid sequence represented by (I) or (II) or by adding one or more amino acids to the amino acid sequence represented by (I) or (II), and having the same or similar function as the amino acid sequence represented by (I) or (II); or

(IV) an amino acid sequence having at least 80% homology to the sequence represented by (I) or (II).

In some specific embodiments of the present invention, in an amino acid sequence obtained by substituting or deleting one or more amino acids of the amino acid sequence of the anti-CD47 monoclonal antibody or by adding one or more amino acids to the amino acid sequence of the anti-CD47 monoclonal antibody, the more amino acids are two, three, four, five, six, seven, eight, nine, ten, eleven, twelve, thirteen, fourteen, fifteen, sixteen, seventeen, eighteen, nineteen, twenty, twenty-one, twenty-two, twenty-three, twenty-four, twenty-five, twenty-six, twenty-seven, twenty-eight, twenty-nine, thirty, thirty-one or thirty-two amino acids.

The substitution occurs in a hypervariable region;

the hypervariable regions of the heavy chain variable region are HVR-H1, HVR-H2, and HVR-H3;

in SEQ ID NO: 2, the hypervariable region HVR-H1 sequence is represented by SEQ ID NO: 45; the HVR-H2 sequence is represented by SEQ ID NO: 46; and the HVR-H3 sequence is represented by SEQ ID NO: 47;

in SEQ ID NO: 5, the hypervariable region HVR-H1 sequence is represented by SEQ ID NO: 48; the HVR-H2 sequence is represented by SEQ ID NO: 49; and the HVR-H3 sequence is represented by SEQ ID NO: 50; and

in SEQ ID NO: 6, the hypervariable region HVR-H1 sequence is represented by SEQ ID NO: 51; the HVR-H2 sequence is represented by SEQ ID NO: 52; and the HVR-H3 sequence is represented by SEQ ID NO: 53;

the hypervariable regions of the light chain variable region are HVR-L1, HVR-L2, and HVR-L3;

in SEQ ID NO: 9, the hypervariable region HVR-L1 sequence is represented by SEQ ID NO: 54; the HVR-L2 sequence is represented by SEQ ID NO: 55; and the HVR-L3 sequence is represented by SEQ ID NO: 56;

in SEQ ID NO: 12, the hypervariable region HVR-L1 sequence of is represented by SEQ ID NO: 57; the HVR-L2 sequence is represented by SEQ ID NO: 58; and the HVR-L3 sequence is represented by SEQ ID NO: 59; and

in SEQ ID NO: 13, the hypervariable region HVR-L1 sequence is represented by SEQ ID NO: 60; the HVR-L2 sequence is represented by SEQ ID NO: 61; and the HVR-L3 sequence is represented by SEQ ID NO: 62.

The amino acid sequence of the heavy chain variable region is represented by any one of SEQ ID NOs: 1 to 7;

The amino acid sequence of the light chain variable region is represented by any one of SEQ ID NOs: 8 to 14.

In some specific embodiments of the present invention, the anti-CD47 monoclonal antibody comprises:

(i) a heavy chain variable region with an amino acid sequence represented by SEQ ID NOs: 1, 2, 3, 4, 5, 6, or 7, and a light chain variable region with an amino acid sequence represented by SEQ ID NO: 8;

(ii) a heavy chain variable region with an amino acid sequence represented by SEQ ID NOs: 1, 2, 3, 4, 5, 6, or 7, and a light chain variable region with an amino acid sequence represented by SEQ ID NO: 9;

(iii) a heavy chain variable region with an amino acid sequence represented by SEQ ID NOs: 1, 2, 3, 4, 5, 6, or 7, and a light chain variable region with an amino acid sequence represented by SEQ ID NO: 10;

(iv) a heavy chain variable region with an amino acid sequence represented by SEQ ID NOs: 1, 2, 3, 4, 5, 6, or 7, and a light chain variable region with an amino acid sequence represented by SEQ ID NO: 11;

(V) a heavy chain variable region with an amino acid sequence represented by SEQ ID NOs: 1, 2, 3, 4, 5, 6, or 7, and a light chain variable region with an amino acid sequence represented by SEQ ID NO: 12;

(VI) a heavy chain variable region with an amino acid sequence represented by SEQ ID NOs: 1, 2, 3, 4, 5, 6, or 7, and a light chain variable region with an amino acid sequence represented by SEQ ID NO: 13; and

(VII) a heavy chain variable region with an amino acid sequence represented by SEQ ID NOs: 1, 2, 3, 4, 5, 6, or 7, and a light chain variable region with an amino acid sequence represented by SEQ ID NO: 14.

The anti-CD47 monoclonal antibody provided by the present invention has a heavy chain type of IgG1, IgG3 or IgM; and its light chain type is K.

The present invention also provides a nucleotide sequence encoding the anti-CD47 monoclonal antibody.

In some specific embodiments of the present invention, the nucleotide sequence comprises

(I) a nucleotide sequence of the heavy chain variable region as represented by SEQ ID NOs: 15 to 21; a nucleotide sequence of the light chain variable region as represented by SEQ ID NOs: 22 to 28; or

(II) a sequence complementary with the nucleotide sequence of the heavy chain variable region as represented by SEQ ID NOs: 15 to 21; a sequence complementary with the nucleotide sequence of the light chain variable region as represented by SEQ ID NOs: 22 to 28; or

(III) a sequence which encodes the same protein as the nucleotide sequence of (I) or (II) but differs from the nucleotide sequence of (I) or (II) due to the degeneracy of the genetic code; or

(IV) a sequence having at least 80% homology to the sequence of (I) or (II) or (III).

In some specific embodiments of the present invention, the nucleotide has a nucleotide sequence obtained by substituting or deleting one or more nucleotides of the nucleotide sequence represented by (I) or (II) or (III) or (IV) or adding one or more nucleotides to the nucleotide sequence represented by (I) or (II) or (III) or (IV), and having the same or similar function as the nucleotide sequence represented by (I) or (II) or (III) or (IV).

In some specific embodiments of the present invention, the nucleotide sequence has a nucleotide sequence obtained by substituting or deleting one or more nucleotides of the nucleotide sequence represented by (I) or (II) or (III) or (IV) or adding one or more nucleotides to the nucleotide sequence represented by (I) or (II) or (III) or (IV), and the more nucleotides are two, three, four, five, six, seven, eight, nine, ten, eleven, twelve, thirteen, fourteen, fifteen, sixteen, seventeen, eighteen, nineteen, twenty, twenty-one, twenty-two, twenty-three, twenty-four, twenty-five, twenty-six, twenty-seven, twenty-eight, twenty-nine, thirty, thirty-one or thirty-two nucleotides.

The present invention also provides an expression vector comprising a nucleotide sequence encoding an anti-CD47 monoclonal antibody provided by the present invention.

The present invention also provides a host cell transformed with the expression vector of the present invention.

The present invention also provides an antigen comprising the amino acid sequence represented by any one of SEQ ID NOs: 29 to 32.

The present invention also provides a hybridoma cell strain which produces the anti-CD47 monoclonal antibody of the present invention.

The preparation method of the anti-CD47 monoclonal antibody provided by the present invention comprises:

step 1: after immunizing a mouse with the antigen provided by the present invention, obtaining spleen cells of the mouse;

step 2: fusing the spleen cells with myeloma cells, screening for a hybridoma cell strain capable of binding to CD47, and culturing the obtained cell strain in vitro to obtain the anti-CD47 monoclonal antibody.

A combination made by marking the anti-CD47 monoclonal antibody of the present invention with a chemical marker or a biomarker.

The chemical marker is an isotope, an immunotoxin, and/or a chemical drug.

The biomarker is biotin, avidin or an enzyme label.

The present invention also provides a conjugate prepared by coupling the anti-CD47 monoclonal antibody or a combination thereof to a solid medium or a semi-solid medium.

Use of the anti-CD47 monoclonal antibody, the combination and/or the conjugate of the present invention in the preparation of a product for detecting the expression of CD47.

The present invention also provides a kit comprising the anti-CD47 monoclonal antibody, the combination and/or the conjugate.

A method for diagnosing disease comprises detecting the expression of CD47 using the kit provided by the present invention, and determining whether or not a disease is developed according to the expression level of CD47.

The disease is leukemia, lymphoma, breast cancer, lung cancer, gastric cancer, intestinal cancer, esophageal cancer, ovarian cancer, cervical cancer, kidney cancer, bladder cancer, pancreatic cancer, glioma and/or melanoma.

Use of the anti-CD47 monoclonal antibody, the combination and/or the conjugate of the present invention in the preparation of a formulation for blocking the binding of CD47 to SIRPα.

Use of the anti-CD47 monoclonal antibody, the combination and/or the conjugate of the present invention in the preparation of a formulation for increasing macrophage phagocytic index against tumor cells.

In an embodiment of the present invention, the tumor cells are human peripheral blood leukemia T cells.

Use of the anti-CD47 monoclonal antibody, the combination and/or the conjugate of the present invention in the preparation of a formulation for promoting apoptosis of tumor cells.

In an embodiment of the present invention, the tumor cells are human peripheral blood leukemia T cells.

Use of the anti-CD47 monoclonal antibody, the combination and/or the conjugate in the preparation of a medicament for preventing and treating disease.

The disease is leukemia, lymphoma, breast cancer, lung cancer, gastric cancer, intestinal cancer, esophageal cancer, ovarian cancer, cervical cancer, kidney cancer, bladder cancer, pancreatic cancer, glioma and/or melanoma.

The present invention also provides a medicament comprising the anti-CD47 monoclonal antibody of the present invention, a combination thereof and/or a conjugate thereof.

A method for preventing and treating disease, which comprises administering the medicament according to the present invention. The disease is leukemia, lymphoma, breast cancer, lung cancer, gastric cancer, intestinal cancer, esophageal cancer, ovarian cancer, cervical cancer, kidney cancer, bladder cancer, pancreatic cancer, glioma and/or melanoma.

The anti-CD47 monoclonal antibody provided by the present invention can effectively inhibit tumor growth. Blocking the signal between human SIRP and human CD47 may enhance macrophage phagocytosis of tumor cells, prevent the tumor cells from escaping a tumor immune defense system, and achieve an anti-tumor function. Blocking the binding of the CD47 on a tumor cell surface to SIRP on a macrophage surface may block a “do not eat me” signal from the tumor cell, promote the tumor cell recognition and uptake of macrophages, and thereby facilitating tumor cells to be phagocytosed. The binding of the CD47 on a tumor cell surface to SIRP on a macrophage surface is a common “do not eat me” signal. The anti-CD47 antibody can be used as a very promising target in the tumor immune system, and play a powerful and effective role in human cancer therapy.

BRIEF DESCRIPTION OF THE DRAWINGS

FIG. 1 shows SDS-PAGE electrophoresis detection of purified human and monkey CD47: lane M: protein molecular weight marker; FIG. 1-A: lane 1: human CD47-linker peptide-hIgG1Fc; lane 2: human CD47-linker peptide-His; FIG. 1-B, lane 1: mouse CD47-linker peptide-hIgG1Fc; lane 2: mouse CD47-linker peptide-His.

FIG. 2 shows SDS-PAGE electrophoresis detection of positive antibody (PAB): lane M: protein molecular weight marker; lane 1: non-reducing PAB; lane 2: reducing PAB.

FIG. 3 shows non-reducing SDS-PAGE electrophoresis detection of a purified candidate antibody: lane M: protein molecular weight marker; lane 1: 059-1.11.1 purified antibody; lane 2: 059-1.20.1 purified antibody; lane 3: 059-1.30.1 purified antibody; lane 4: 059-1.43.1 purified antibody; lane 5: 059-1.51.2 purified antibody; lane 6: 059-1.82.1 purified antibody; lane 7: 059-1.100.5 purified antibody.

FIG. 4 shows electrophoresis of total RNA. Lane M: DL2000 molecular weight marker. Lanes 1-7 are total RNA electrophoresis bands of 059-1.11.1, 059-1.20.1, 059-1.30.1, 059-1.43.1, 059-1.51.2, 059-1.82.1, 059-1.100.5, respectively.

FIG. 5 shows agarose electrophoresis detection results of heavy chain variable region and light chain variable region of PCR amplified candidate antibodies.

FIG. 6 is a graph showing the results of blocking human CD47 and SIRPα by antibodies 059-1.20.1, 059-1.30.1, 059-1.43.1, and 059-1.82.1.

FIG. 7 shows FACS assays for binding of antibodies 059-1.20.1, 059-1.30.1, 059-1.43.1, 059-1.82.1 to CD47 on jurkat cell surface.

FIG. 8 shows that antibodies 059-1.20.1, 059-1.30.1, 059-1.43.1, 059-1.82.1 promote mouse peritoneal primary macrophages's phagocytosis of Jurkat cells.

SPECIFIC MODES FOR CARRYING OUT THE EMBODIMENTS

The present invention provides an anti-CD47 monoclonal antibody and use thereof, which can be achieved by a person skilled in the art by learning from the contents herein and appropriately improving the process parameters. It is to be understood that all such alternatives and modifications are obvious to a person skilled in the art and are considered to be included in the present invention. The method and the use according to the present invention have been described by the preferred embodiments, and it will be apparent to a person skilled in the art that the method and the use according to the present invention may be modified or appropriately altered and combined without departing from the scope, spirit and range of the present invention to achieve and apply the present invention.

“Antibody” refers to a protein composed of one or more polypeptides, which is capable of specifically binding an antigen. One form of antibody constitutes the basic structural unit of an antibody. This form is a tetramer consisting of two identical pairs of antibody chains, each pair having a light chain and a heavy chain. In each pair of antibody chains, the variable regions of the light chain and heavy chain are joined together to bind the antigen, while the constant region is responsible for the effector function of the antibody.

The “variable region” of an antibody heavy chain or light chain is the N-terminal mature region of the chain. Currently known types of antibodies include κ and λ light chains, as well as α, γ (IgG1, IgG2, IgG3, IgG4), δ, ε and μ heavy chains or equivalents thereof belonging to other types. The full length immunoglobulin “light chain” (approximately 25 kDa or approximately 214 amino acids) comprises a variable region formed by approximately 110 amino acids at the NH2-terminal, and a κ or λ constant region at the COOH-terminal. A full length immunoglobulin “heavy chain” (approximately 50 kDa or approximately 446 amino acids) also contains a variable region (approximately 116 amino acids) and one of the heavy chain constant regions, such as λ (approximately 330 amino acids).

“Antibody” includes any isotype of antibodies or immunoglobulins, or antibody fragments that retain the ability of specifically binding to an antigen, including but not limited to Fab, Fv, scFv and Fd fragments, chimeric antibodies, humanized antibodies, single chain antibodies, and a fusion protein comprising an antigen binding portion of an antibody and a non-antibody protein. The antibody can be labeled and detected, for example, by a radioisotope, an enzyme capable of producing a detectable substance, a fluorescent protein, biotin, or the like. Antibodies can also bind to a solid support, including but not limited to polystyrene plates or beads, and the like.

The present invention provides an anti-CD47 monoclonal antibody having a heavy chain variable region and a light chain variable region:

(I) the amino acid sequence of the heavy chain variable region is represented by SEQ ID NO: 1 or SEQ ID NO: 2 or SEQ ID NO: 3 or SEQ ID NO: 4 or SEQ ID NO: 5 or SEQ ID NO: 6 or SEQ ID NO: 7;

(II) the amino acid sequence of the light chain variable region is represented by SEQ ID NO: 8 or SEQ ID NO: 9 or SEQ ID NO: 10 or SEQ ID NO: 11 or SEQ ID NO: 12 or SEQ ID NO: 13 or SEQ ID NO: 14;

(III) an amino acid sequence obtained by substituting or deleting one or more amino acids of the amino acid sequence represented by (I) or (II) or by adding one or more amino acids to the amino acid sequence represented by (I) or (II), and having the same or similar function as the amino acid sequence represented by (I) or (II); or

(IV) an amino acid sequence having at least 80% homology to the sequence represented by (I) or (II).

In some specific embodiments of the present invention, in said amino acid sequence obtained by substituting or deleting one or more amino acids of the amino acid sequence of the anti-CD47 monoclonal antibody or by adding one or more amino acids to the amino acid sequence of the anti-CD47 monoclonal antibody, the more amino acids are two, three, four, five, six, seven, eight, nine, ten, eleven, twelve, thirteen, fourteen, fifteen, sixteen, seventeen, eighteen, nineteen, twenty, twenty-one, twenty-two, twenty-three, twenty-four, twenty-five, twenty-six, twenty-seven, twenty-eight, twenty-nine, thirty, thirty-one or thirty-two amino acids.

The substitution occurs in a hypervariable region;

the hypervariable regions of the heavy chain variable region are HVR-H1, HVR-H2, and HVR-H3;

in SEQ ID NO: 2, the hypervariable region HVR-H1 sequence is represented by SEQ ID NO: 45; the HVR-H2 sequence is represented by SEQ ID NO: 46; and the HVR-H3 sequence is represented by SEQ ID NO: 47;

in SEQ ID NO: 5, the hypervariable region HVR-H1 sequence is represented by SEQ ID NO: 48; the HVR-H2 sequence is represented by SEQ ID NO: 49; and the HVR-H3 sequence is represented by SEQ ID NO: 50; and

in SEQ ID NO: 6, the hypervariable region HVR-H1 sequence is represented by SEQ ID NO: 51; the HVR-H2 sequence is represented by SEQ ID NO: 52; and the HVR-H3 sequence is represented by SEQ ID NO: 53;

the hypervariable regions of the light chain variable region are HVR-L1, HVR-L2, and HVR-L3;

in SEQ ID NO: 9, the hypervariable region HVR-L1 sequence is represented by SEQ ID NO: 54; the HVR-L2 sequence is represented by SEQ ID NO: 55; and the HVR-L3 sequence is represented by SEQ ID NO: 56;

in SEQ ID NO: 12, the hypervariable region HVR-L1 sequence is represented by SEQ ID NO: 57; the HVR-L2 sequence is represented by SEQ ID NO: 58; and the HVR-L3 sequence is represented by SEQ ID NO: 59; and

in SEQ ID NO: 13, the hypervariable region HVR-L1 sequence is represented by SEQ ID NO: 60; the HVR-L2 sequence is represented by SEQ ID NO: 61; and the HVR-L3 sequence is represented by SEQ ID NO: 62.

In some specific embodiments of the present invention, the anti-CD47 monoclonal antibody comprises:

(i) a heavy chain variable region with an amino acid sequence represented by SEQ ID NOs: 1, 2, 3, 4, 5, 6, or 7, and a light chain variable region with an amino acid sequence represented by SEQ ID NO: 8;

(ii) a heavy chain variable region with an amino acid sequence represented by SEQ ID NOs: 1, 2, 3, 4, 5, 6, or 7, and a light chain variable region with an amino acid sequence represented by SEQ ID NO: 9;

(iii) a heavy chain variable region with an amino acid sequence represented by SEQ ID NOs: 1, 2, 3, 4, 5, 6, or 7, and a light chain variable region with an amino acid sequence represented by SEQ ID NO: 10;

(iv) a heavy chain variable region with an amino acid sequence represented by SEQ ID NOs: 1, 2, 3, 4, 5, 6, or 7, and a light chain variable region with an amino acid sequence represented by SEQ ID NO: 11;

(V) a heavy chain variable region with an amino acid sequence represented by SEQ ID NOs: 1, 2, 3, 4, 5, 6, or 7, and a light chain variable region with an amino acid sequence represented by SEQ ID NO: 12;

(VI) a heavy chain variable region with an amino acid sequence represented by SEQ ID NOs: 1, 2, 3, 4, 5, 6, or 7, and a light chain variable region with an amino acid sequence represented by SEQ ID NO: 13;

(VII) a heavy chain variable region with an amino acid sequence represented by SEQ ID NOs: 1, 2, 3, 4, 5, 6, or 7, and a light chain variable region with an amino acid sequence represented by SEQ ID NO: 14.

The anti-CD47 monoclonal antibody provided by the present invention has a heavy chain type of IgG1, IgG3 or IgM; and its light chain type is K.

Specifically, the amino acid sequence of the heavy chain variable region of the anti-CD47 monoclonal antibody is represented by SEQ ID NO: 1, and the amino acid sequence of the light chain variable region is represented by SEQ ID NO: 8.

Alternatively, the amino acid sequence of the heavy chain variable region of the anti-CD47 monoclonal antibody is represented by SEQ ID NO: 2, and the amino acid sequence of the light chain variable region is represented by SEQ ID NO: 8.

Alternatively, the amino acid sequence of the heavy chain variable region of the anti-CD47 monoclonal antibody is represented by SEQ ID NO: 3, and the amino acid sequence of the light chain variable region is represented by SEQ ID NO: 8.

Alternatively, the amino acid sequence of the heavy chain variable region of the anti-CD47 monoclonal antibody is represented by SEQ ID NO: 4, and the amino acid sequence of the light chain variable region is represented by SEQ ID NO: 8.

Alternatively, the amino acid sequence of the heavy chain variable region of the anti-CD47 monoclonal antibody is represented by SEQ ID NO: 5, and the amino acid sequence of the light chain variable region is represented by SEQ ID NO: 8.

Alternatively, the amino acid sequence of the heavy chain variable region of the anti-CD47 monoclonal antibody is represented by SEQ ID NO: 6, and the amino acid sequence of the light chain variable region is represented by SEQ ID NO: 8.

Alternatively, the amino acid sequence of the heavy chain variable region of the anti-CD47 monoclonal antibody is represented by SEQ ID NO: 7, and the amino acid sequence of the light chain variable region is represented by SEQ ID NO: 8.

Alternatively, the amino acid sequence of the heavy chain variable region of the anti-CD47 monoclonal antibody is represented by SEQ ID NO: 1, and the amino acid sequence of the light chain variable region is represented by SEQ ID NO: 9.

Alternatively, the amino acid sequence of the heavy chain variable region of the anti-CD47 monoclonal antibody is represented by SEQ ID NO: 2, and the amino acid sequence of the light chain variable region is represented by SEQ ID NO: 9.

Alternatively, the amino acid sequence of the heavy chain variable region of the anti-CD47 monoclonal antibody is represented by SEQ ID NO: 3, and the amino acid sequence of the light chain variable region is represented by SEQ ID NO: 9.

Alternatively, the amino acid sequence of the heavy chain variable region of the anti-CD47 monoclonal antibody is represented by SEQ ID NO: 4, and the amino acid sequence of the light chain variable region is represented by SEQ ID NO: 9.

Alternatively, the amino acid sequence of the heavy chain variable region of the anti-CD47 monoclonal antibody is represented by SEQ ID NO: 5, and the amino acid sequence of the light chain variable region is represented by SEQ ID NO: 9.

Alternatively, the amino acid sequence of the heavy chain variable region of the anti-CD47 monoclonal antibody is represented by SEQ ID NO: 6, and the amino acid sequence of the light chain variable region is represented by SEQ ID NO: 9.

Alternatively, the amino acid sequence of the heavy chain variable region of the anti-CD47 monoclonal antibody is represented by SEQ ID NO: 7, and the amino acid sequence of the light chain variable region is represented by SEQ ID NO: 9.

Alternatively, the amino acid sequence of the heavy chain variable region of the anti-CD47 monoclonal antibody is represented by SEQ ID NO: 1, and the amino acid sequence of the light chain variable region is represented by SEQ ID NO: 10.

Alternatively, the amino acid sequence of the heavy chain variable region of the anti-CD47 monoclonal antibody is represented by SEQ ID NO: 2, and the amino acid sequence of the light chain variable region is represented by SEQ ID NO: 10.

Alternatively, the amino acid sequence of the heavy chain variable region of the anti-CD47 monoclonal antibody is represented by SEQ ID NO: 3, and the amino acid sequence of the light chain variable region is represented by SEQ ID NO: 10.

Alternatively, the amino acid sequence of the heavy chain variable region of the anti-CD47 monoclonal antibody is represented by SEQ ID NO: 4, and the amino acid sequence of the light chain variable region is represented by SEQ ID NO: 10.

Alternatively, the amino acid sequence of the heavy chain variable region of the anti-CD47 monoclonal antibody is represented by SEQ ID NO: 5, and the amino acid sequence of the light chain variable region is represented by SEQ ID NO: 10.

Alternatively, the amino acid sequence of the heavy chain variable region of the anti-CD47 monoclonal antibody is represented by SEQ ID NO: 6, and the amino acid sequence of the light chain variable region is represented by SEQ ID NO: 10.

Alternatively, the amino acid sequence of the heavy chain variable region of the anti-CD47 monoclonal antibody is represented by SEQ ID NO: 7, and the amino acid sequence of the light chain variable region is represented by SEQ ID NO: 10.

Alternatively, the amino acid sequence of the heavy chain variable region of the anti-CD47 monoclonal antibody is represented by SEQ ID NO: 1, and the amino acid sequence of the light chain variable region is represented by SEQ ID NO: 11.

Alternatively, the amino acid sequence of the heavy chain variable region of the anti-CD47 monoclonal antibody is represented by SEQ ID NO: 2, and the amino acid sequence of the light chain variable region is represented by SEQ ID NO: 11.

Alternatively, the amino acid sequence of the heavy chain variable region of the anti-CD47 monoclonal antibody is represented by SEQ ID NO: 3, and the amino acid sequence of the light chain variable region is represented by SEQ ID NO: 11.

Alternatively, the amino acid sequence of the heavy chain variable region of the anti-CD47 monoclonal antibody is represented by SEQ ID NO: 4, and the amino acid sequence of the light chain variable region is represented by SEQ ID NO: 11.

Alternatively, the amino acid sequence of the heavy chain variable region of the anti-CD47 monoclonal antibody is represented by SEQ ID NO: 5, and the amino acid sequence of the light chain variable region is represented by SEQ ID NO: 11.

Alternatively, the amino acid sequence of the heavy chain variable region of the anti-CD47 monoclonal antibody is represented by SEQ ID NO: 6, and the amino acid sequence of the light chain variable region is represented by SEQ ID NO: 11.

Alternatively, the amino acid sequence of the heavy chain variable region of the anti-CD47 monoclonal antibody is represented by SEQ ID NO: 7, and the amino acid sequence of the light chain variable region is represented by SEQ ID NO: 11.

Alternatively, the amino acid sequence of the heavy chain variable region of the anti-CD47 monoclonal antibody is represented by SEQ ID NO: 1, and the amino acid sequence of the light chain variable region is represented by SEQ ID NO: 12.

Alternatively, the amino acid sequence of the heavy chain variable region of the anti-CD47 monoclonal antibody is represented by SEQ ID NO: 2, and the amino acid sequence of the light chain variable region is represented by SEQ ID NO: 12.

Alternatively, the amino acid sequence of the heavy chain variable region of the anti-CD47 monoclonal antibody is represented by SEQ ID NO: 3, and the amino acid sequence of the light chain variable region is represented by SEQ ID NO: 12.

Alternatively, the amino acid sequence of the heavy chain variable region of the anti-CD47 monoclonal antibody is represented by SEQ ID NO: 4, and the amino acid sequence of the light chain variable region is represented by SEQ ID NO: 12.

Alternatively, the amino acid sequence of the heavy chain variable region of the anti-CD47 monoclonal antibody is represented by SEQ ID NO: 5, and the amino acid sequence of the light chain variable region is represented by SEQ ID NO: 12.

Alternatively, the amino acid sequence of the heavy chain variable region of the anti-CD47 monoclonal antibody is represented by SEQ ID NO: 6, and the amino acid sequence of the light chain variable region is represented by SEQ ID NO: 12.

Alternatively, the amino acid sequence of the heavy chain variable region of the anti-CD47 monoclonal antibody is represented by SEQ ID NO: 7, and the amino acid sequence of the light chain variable region is represented by SEQ ID NO: 12.

Alternatively, the amino acid sequence of the heavy chain variable region of the anti-CD47 monoclonal antibody is represented by SEQ ID NO: 1, and the amino acid sequence of the light chain variable region is represented by SEQ ID NO: 13.

Alternatively, the amino acid sequence of the heavy chain variable region of the anti-CD47 monoclonal antibody is represented by SEQ ID NO: 2, and the amino acid sequence of the light chain variable region is represented by SEQ ID NO: 13.

Alternatively, the amino acid sequence of the heavy chain variable region of the anti-CD47 monoclonal antibody is represented by SEQ ID NO: 3, and the amino acid sequence of the light chain variable region is represented by SEQ ID NO: 13.

Alternatively, the amino acid sequence of the heavy chain variable region of the anti-CD47 monoclonal antibody is represented by SEQ ID NO: 4, and the amino acid sequence of the light chain variable region is represented by SEQ ID NO: 13.

Alternatively, the amino acid sequence of the heavy chain variable region of the anti-CD47 monoclonal antibody is represented by SEQ ID NO: 5, and the amino acid sequence of the light chain variable region is represented by SEQ ID NO: 13.

Alternatively, the amino acid sequence of the heavy chain variable region of the anti-CD47 monoclonal antibody is represented by SEQ ID NO: 6, and the amino acid sequence of the light chain variable region is represented by SEQ ID NO: 13.

Alternatively, the amino acid sequence of the heavy chain variable region of the anti-CD47 monoclonal antibody is represented by SEQ ID NO: 7, and the amino acid sequence of the light chain variable region is represented by SEQ ID NO: 13.

Alternatively, the amino acid sequence of the heavy chain variable region of the anti-CD47 monoclonal antibody is represented by SEQ ID NO: 1, and the amino acid sequence of the light chain variable region is represented by SEQ ID NO: 14.

Alternatively, the amino acid sequence of the heavy chain variable region of the anti-CD47 monoclonal antibody is represented by SEQ ID NO: 2, and the amino acid sequence of the light chain variable region is represented by SEQ ID NO: 14.

Alternatively, the amino acid sequence of the heavy chain variable region of the anti-CD47 monoclonal antibody is represented by SEQ ID NO: 3, and the amino acid sequence of the light chain variable region is represented by SEQ ID NO: 14.

Alternatively, the amino acid sequence of the heavy chain variable region of the anti-CD47 monoclonal antibody is represented by SEQ ID NO: 4, and the amino acid sequence of the light chain variable region is represented by SEQ ID NO: 14.

Alternatively, the amino acid sequence of the heavy chain variable region of the anti-CD47 monoclonal antibody is represented by SEQ ID NO: 5, and the amino acid sequence of the light chain variable region is represented by SEQ ID NO: 14.

Alternatively, the amino acid sequence of the heavy chain variable region of the anti-CD47 monoclonal antibody is represented by SEQ ID NO: 6, and the amino acid sequence of the light chain variable region is represented by SEQ ID NO: 14.

Alternatively, the amino acid sequence of the heavy chain variable region of the anti-CD47 monoclonal antibody is represented by SEQ ID NO: 7, and the amino acid sequence of the light chain variable region is represented by SEQ ID NO: 14.

In an embodiment of the present invention, the amino acid sequence of the heavy chain variable region of the anti-CD47 monoclonal antibody is represented by SEQ ID NO: 1, and the amino acid sequence of the light chain variable region is represented by SEQ ID NO: 8.

Alternatively, the amino acid sequence of the heavy chain variable region of the anti-CD47 monoclonal antibody is represented by SEQ ID NO: 2, and the amino acid sequence of the light chain variable region is represented by SEQ ID NO: 9.

Alternatively, the amino acid sequence of the heavy chain variable region of the anti-CD47 monoclonal antibody is represented by SEQ ID NO: 3, and the amino acid sequence of the light chain variable region is represented by SEQ ID NO: 10.

Alternatively, the amino acid sequence of the heavy chain variable region of the anti-CD47 monoclonal antibody is represented by SEQ ID NO: 4, and the amino acid sequence of the light chain variable region is represented by SEQ ID NO: 11.

Alternatively, the amino acid sequence of the heavy chain variable region of the anti-CD47 monoclonal antibody is represented by SEQ ID NO: 5, and the amino acid sequence of the light chain variable region is represented by SEQ ID NO: 12.

Alternatively, the amino acid sequence of the heavy chain variable region of the anti-CD47 monoclonal antibody is represented by SEQ ID NO: 6, and the amino acid sequence of the light chain variable region is represented by SEQ ID NO: 13.

Alternatively, the amino acid sequence of the heavy chain variable region of the anti-CD47 monoclonal antibody is represented by SEQ ID NO: 7, and the amino acid sequence of the light chain variable region is represented by SEQ ID NO: 14.

The heavy chain constant region of the antibody 059-1.82.1 of the present invention is mouse IgG3, the light chain constant region is the constant region of the mouse κ chain, and 059-1.30.1, 059-1.43.1, and 059-1.20.1 are all mouse IgG1, the light chain constant region is the constant region of the mouse κ chain; the heavy chain constant regions of 059-1.11.1, 059-1.51.2, and 059-1.100.5 are mouse IgM. The amino acid sequence of the heavy chain variable region is one of SEQ ID NOs: 1 to 7, and the amino acid sequence of the light chain variable region is one of SEQ ID NOs: 8 to 14.

The anti-CD47 monoclonal antibody provided by the present invention is capable of binding human CD47 and monkey CD47; in certain embodiments, the affinity between the antibody and its target is characterized by Ka, Kd (dissociation constant), and KD (equilibrium dissociation constant). The KD value of the antibody provided by the present invention is not higher than 30 nM.

The anti-CD47 monoclonal antibody provided by the present invention can block the binding between human SIRP and human CD47 in a dose-dependent manner; the blocking effect thereof is represented by an EC50 value, and the EC50 value of the antibody provided by the present invention is not less than 850 nM.

The anti-CD47 monoclonal antibody provided by the present invention is capable of binding to CD47 on cell surface; the detection of this effect is carried out by the FACS method, and the results of FACS are represented by MFI (fluorescence intensity), and the MFI value of the binding between the antibody provided by the present invention and the CD47 on cell surface is not less than 9547, and can be up to 18533.

The anti-CD47 monoclonal antibody provided by the present invention can promote macrophage phagocytosis of tumor cells, and the effect is measured by fluorescence imaging, and the result is expressed by the phagocytic index. The phagocytic index against jurkat cells of the antibody provided by the present invention can reach 79.

The anti-CD47 monoclonal antibody provided by the present invention can also induce apoptosis of tumor cells, and the effect is expressed by the cell apoptosis rate detected using a flow cytometry, and the results show that the antibody provided by the present invention can induce apoptosis of jurkat cells, and the apoptosis rate can reach 48%.

Jurkat cells belong to the acute T cell leukemia cell line and are one of a variety of malignant tumor cells. Like other malignant tumors, CD47 on the jurkat cell surface has a high expression level. In the present invention, it is proved by the experiment on jurkat cells that the CD47 monoclonal antibody provided by the present invention can prevent the tumor cells from escaping the tumor immune defense system by blocking the binding signal between SIRP and human CD47, and thereby achieving an anti-tumor effect.

In the monoclonal antibodies provided by the present invention, the monoclonal antibodies provided by the present invention with the amino acid sequence of the heavy chain variable region as represented by SEQ ID NO: 2 and the amino acid sequence of the light chain variable region as represented by SEQ ID NO: 9, the monoclonal antibodies with the amino acid sequence of the heavy chain variable region as represented by SEQ ID NO: 3 and the amino acid sequence of the light chain variable region as represented by SEQ ID NO: 10, the monoclonal antibodies with the amino acid sequence of the heavy chain variable region as represented by SEQ ID NO: 4 and the amino acid sequence of the light chain variable region as represented by SEQ ID NO: 11, and the monoclonal antibodies with the amino acid sequence of the heavy chain variable region as represented by SEQ ID NO: 6 and the amino acid sequence of the light chain variable region as represented by SEQ ID NO: 13, have a good affinity for both human CD47 and monkey CD47, can block the binding between CD47 and SIRPα, and can bind to CD47 on cell surface, promote macrophage phagocytosis of tumor cells, and induce apoptosis of tumor cells.

Wherein the monoclonal antibody with the amino acid sequence of the heavy chain variable region as represented by SEQ ID NO: 4 and the amino acid sequence of the light chain variable region as represented by SEQ ID NO: 11, has the best effect of blocking the binding between CD47 and SIRPα. This monoclonal antibody also has binding to CD47 on tumor cell surface, and the best effect of inducing macrophage phagocytosis of tumor cells. However, for inducing tumor cell apoptosis, the monoclonal antibody with the amino acid sequence of the heavy chain variable region as represented by SEQ ID NO: 3 and the amino acid sequence of the light chain variable region as represented by SEQ ID NO: 10 shows superior effect.

The present invention also provides a nucleotide sequence encoding the anti-CD47 monoclonal antibody.

In some embodiments of the present invention, the nucleotide sequence comprises:

(I) a nucleotide sequence of the heavy chain variable region as represented by SEQ ID NOs: 15 to 21; a nucleotide sequence of the light chain variable region as represented by SEQ ID NOs: 22 to 28; or

(II) a sequence complementary with the nucleotide sequence of the heavy chain variable region as represented by SEQ ID NOs: 15 to 21; a sequence complementary with the nucleotide sequence of the light chain variable region as represented by SEQ ID NOs: 22 to 28; or

(III) a sequence which encodes the same protein as the nucleotide sequence of (I) or (II) but differs from the nucleotide sequence of (I) or (II) due to the degeneracy of the genetic code; or

(IV) a sequence having at least 80% homology to the sequence of (I) or (II) or (III).

In some specific embodiments of the present invention, the nucleotide sequence has a nucleotide sequence obtained by substituting or deleting one or more nucleotides of the nucleotide sequence represented by (I) or (II) or (III) or (IV) or by adding one or more nucleotides to the nucleotide sequence represented by (I) or (II) or (III) or (IV), and having the same or similar function as the nucleotide sequence represented by (I) or (II) or (III) or (IV).

In some specific embodiments of the present invention, the nucleotide sequence has a nucleotide sequence obtained by substituting or deleting one or more nucleotides of the nucleotide sequence represented by (I) or (II) or (III) or (IV) or by adding one or more nucleotides to the nucleotide sequence represented by (I) or (II) or (III) or (IV), and the more nucleotides are two, three, four, five, six, seven, eight, nine, ten, eleven, twelve, thirteen, fourteen, fifteen, sixteen, seventeen, eighteen, nineteen, twenty, twenty-one, twenty-two, twenty-three, twenty-four, twenty-five, twenty-six, twenty-seven, twenty-eight, twenty-nine, thirty, thirty-one or thirty-two nucleotides.

The present invention also provides an expression vector comprising a nucleotide sequence that provide a heavy chain variable region and/or a light chain variable region of the anti-CD47 monoclonal antibody provided by the present invention.

The present invention also provides a host cell transformed with the expression vector of the present invention.

The present invention also provides an antigen having the amino acid sequence represented by any one of SEQ ID NOs: 29 to 32.

The present invention also provides a hybridoma cell strain which produces the anti-CD47 monoclonal antibody of the present invention.

The preparation method of the anti-CD47 monoclonal antibody provided by the present invention comprises:

step 1: after immunizing a mouse with the antigen provided by the present invention, obtaining spleen cells of the mouse; and

step 2: fusing the spleen cells with myeloma cells, screening for a hybridoma cell strain capable of binding to CD47, and culturing the cell strain in vitro to obtain an anti-CD47 monoclonal antibody.

In the present invention, the amino acid sequence of the antigen in step 1 is represented by SEQ ID NO: 29 or 31.

In the present invention, the antigen is mixed with an adjuvant to immunize mice.

The volume ratio of the antigen to the adjuvant is 1:1.

Specifically, the immunization is performed as follows: two weeks after a first immunization, a second immunization is performed, and 3 days later, a booster immunization is performed for the mice having a serum titer greater than 1:200,000.

The doses for the first immunization, the second immunization, and the booster immunization are all 10 μg in terms of antigen mass.

Immunization is performed by two-point injection.

The adjuvant for the first immunization is Freund's complete adjuvant, and the adjuvant for the second immunization and the booster immunization is Freund's incomplete adjuvant.

The mice used for immunization are BALB/C mice.

The myeloma cell is P3X63Ag8.653.

The fusion is performed at a ratio of spleen cells to myeloma cells of 5:1.

A HAT medium is used for screening.

Binding to CD47 specifically means the ability of binding to CD47 protein and the ability of binding to cells that express CD47 protein on the surface.

After identification, The CD47 monoclonal antibody prepared by the method of the present invention has a heavy chain type of IgG3, IgM or IgG1, and a light chain type of κ.

A combination made by marking the anti-CD47 monoclonal antibody of the present invention with a chemical marker or a biomarker.

The chemical marker is an isotope, an immunotoxin, and/or a chemical drug.

The biomarker is biotin, avidin or an enzyme label.

The enzyme label is preferably horseradish peroxidase or alkaline phosphatase.

The immunotoxin is preferably aflatoxin, diphtheria toxin, Pseudomonas aeruginosa exotoxin, ricin, abrin, mistletoe lectin, modeccin, PAP, saporin, gelonin or luffin.

The present invention also provides a conjugate prepared by coupling the anti-CD47 monoclonal antibody or a combination thereof to a solid medium or a semi-solid medium.

The solid medium or non-solid medium is selected from colloidal gold, polystyrene plates or beads.

Use of the anti-CD47 monoclonal antibody, the combination and/or the conjugate of the present invention in the preparation of a product for detecting the expression of CD47.

Experiments have shown that the CD47 monoclonal antibody provided by the present invention can bind to CD47 protein, and can also bind to cells expressing CD47 on the surface. Therefore, the CD47 monoclonal antibody provided by the present invention can be used for the detection of CD47 protein or cells expressing CD47 on the surface. Moreover, due to the high expression of the tumor cell surface marker CD47, the antibody provided by the present invention is capable of preparing a kit for the detection of the tumor surface marker CD47, wherein, the detection of the CD47 protein is carried out by a ELISA method, and the detection of cells expressing CD47 on the surface is carried out by a FACS method.

The present invention also provides a kit comprising the anti-CD47 monoclonal antibody, the combination and/or the conjugate.

The kit for detecting CD47 protein further includes a coating buffer, a washing solution, a blocking solution, and/or a color developing solution.

The coating buffer is a carbonate buffer.

The washing solution includes PBS, Tween, sodium chloride, potassium chloride, disodium hydrogen phosphate, and dipotassium hydrogen phosphate.

The blocking solution includes PBS and BSA.

The color developing solution includes a TMB solution, a substrate buffer, and a stop solution.

The substrate buffer includes citric acid and disodium hydrogen phosphate.

The stop solution is an aqueous hydrogen peroxide solution.

The kit for detecting cells expressing CD47 on the surface also include PBS, goat-anti-mouse IgG Fc and TITC secondary antibody.

Use of the anti-CD47 monoclonal antibody, the combination and/or the conjugate of the present invention in the preparation of a formulation for blocking the binding of CD47 to SIRPα.

The cells expressing CD47 on the surface are tumor cells.

The tumor cells are selected from leukemia cells, lymphoma cells, breast cancer cells, lung cancer cells, gastric cancer cells, intestinal cancer cells, esophageal cancer cells, ovarian cancer cells, cervical cancer cells, kidney cancer cells, bladder cancer cells, pancreatic cancer cells, glioma cells and/or melanoma cells.

A method for diagnosing disease comprises detecting CD47 expression using the kit provided by the present invention, and determining whether or not a disease is developed according to the expression level of CD47.

The disease is leukemia, lymphoma, breast cancer, lung cancer, gastric cancer, intestinal cancer, esophageal cancer, ovarian cancer, cervical cancer, kidney cancer, bladder cancer, pancreatic cancer, glioma and/or melanoma.

Use of the anti-CD47 monoclonal antibody, the combination and/or the conjugate of the present invention in the preparation of a formulation for blocking the binding of CD47 to SIRPα.

The anti-CD47 monoclonal antibody of the present invention blocks the binding of CD47 to SIRPα with an EC50 value of 850 nM to 2340 nM.

Use of the anti-CD47 monoclonal antibody, the combination and/or the conjugate of the present invention in the preparation of a formulation for increasing macrophage phagocytic index of tumor cells.

The dose of the anti-CD47 monoclonal antibody of the present invention for increasing macrophage phagocytic index of tumor cells is 10 μg/mL in terms of antibody concentration.

In the embodiment of the present invention, the tumor cells are human peripheral blood leukemia T cells.

Use of the anti-CD47 monoclonal antibody, the combination and/or the conjugate of the present invention in the preparation of a formulation for promoting apoptosis of tumor cells.

In an embodiment of the present invention, the tumor cells are human peripheral blood leukemia T cells.

The dose of the anti-CD47 monoclonal antibody of the present invention for promoting apoptosis of tumor cells is 10 μg/mL.

Use of the anti-CD47 monoclonal antibody, combination and/or conjugate thereof in the preparation of a medicament for preventing and treating tumors.

The disease is leukemia, lymphoma, breast cancer, lung cancer, gastric cancer, intestinal cancer, esophageal cancer, ovarian cancer, cervical cancer, kidney cancer, bladder cancer, pancreatic cancer, glioma and/or melanoma.

The invention also provides a medicament comprising the anti-CD47 monoclonal antibody, the combination and/or the conjugate of the present invention.

A method for preventing and treating disease comprises administering the medicament of the present invention. The disease is leukemia, lymphoma, breast cancer, lung cancer, gastric cancer, intestinal cancer, esophageal cancer, ovarian cancer, cervical cancer, kidney cancer, bladder cancer, pancreatic cancer, glioma and/or melanoma.

The medicament provided by the present invention can promote tumor cell recognition and uptake of macrophages by blocking a “do not eat me” signal from the tumor cells, thereby facilitating tumor cells to be phagocytosed.

The dosage form of the medicament provided by the present invention is an injection solution or a powder injection.

The concentration of the antibody in the injection solution is 10 μg/mL.

The anti-CD47 monoclonal antibody provided by the present invention can effectively inhibit tumor growth. Blocking the signal between human SIRP and human CD47 may enhance macrophage phagocytosis of tumor cells, prevent the tumor cells from escaping the tumor immune defense system, and have an anti-tumor function. Blocking the binding of the CD47 on a tumor cell surface to SIRP on a macrophage surface may block a “do not eat me” signal from the tumor cells, promote the tumor cell recognition and uptake of macrophages, and thereby facilitating tumor cells to be phagocytosed. The binding between the CD47 on tumor cell surface and SIRP on macrophage surface is a common “do not eat me” signal. The anti-CD47 antibody can be used as a very promising target in the tumor immune system, and play a powerful and effective role in human cancer therapy.

The instruments used in the present invention are all commercially available and can be purchased in the market.

The present invention is further illustrated below in combination with the Examples.

Example 1: Preparation of Antigenic Protein and Positive Control Antibody

1.1 Synthesis of Antigen Gene and Construction of Expression Vector:

The amino acid sequence of the extracellular region of the human-derived and monkey-derived CD47 protein was fused with the linker peptide-hIgG1Fc or the linker peptide-7his amino acid sequence, and the amino acid sequence was designed as represented by SEQ ID NOs: 29, 30, 31, and 32.

The amino acid sequences corresponding to the human and monkey CD47 protein extracellular region fusion protein (CD47ECD-linker peptide-hIgG1Fc or CD47ECD-linker peptide-7his) designed above were codon-optimized, for example, SEQ ID NOs: 33, 34, 35, and 36 were added with the Hind III restriction enzyme cutting site and the Kozak sequence GCCGCCACC at the 5′ terminal, and were added with the stop codon TAG and EcoR I restriction enzyme cutting site at the 3′ terminal, and the optimized DNA was synthesized by GenScript Biotech Corp. and cloned into a pUC57simple vector (provided by GenScript Biotech Corp.), to give pUC57simple-CD47-linker peptide-hIgG1Fc and/or CD47ECD-linker peptide-7his plasmids for human and monkey.

Followed by enzyme digestion (Hind III and EcoR I) of human and monkey plasmids pUC57simple-CD47-linker peptide-hIgG1Fc, pUC57simple-CD47ECD-linker peptide-7his and vector pcDNA3.1, the fusion gene fragments CD47-linker peptide-hIgG1Fc and CD47ECD-linker peptide-7his were recovered after electrophoresis and subjected to ligation with the pcDNA3.1 vector to construct the following expression plasmids:

pcDNA3.1-human CD47-linker peptide-hIgG1Fc;

pcDNA3.1-human CD47ECD-linker peptide-7his;

pcDNA3.1-monkey CD47-linker peptide-hIgG1Fc; and

pcDNA3.1-monkey CD47ECD-linker peptide-7his.

Gene synthesis of positive antibody (pAb) and construction of expression vector

The sequences of pAb antibodies were as follows:

PABH, as represented by SEQ ID NOs: 37 and 38; and

PABL, as represented by SEQ ID NOs: 39 and 40.

The amino acid sequences corresponding to the above antibody sequences was codon-optimized, and added with the Hind III restriction enzyme cutting site and the Kozak sequence GCCGCCACC at the 5′ terminal, and added with the stop codon TAG and EcoR I restriction enzyme cutting site at the 3′ terminal, and the optimized DNA was synthesized by GenScript Biotech Corp. and cloned into a pUC57simple vector (provided by GenScript Biotech Corp.), to give pUC57simple-PCABH and pUC57simple-PCABL plasmids. Followed by enzyme digestion (Hind III and EcoR I) of plasmids pUC57simple-PCABH and pUC57simple-PCABL, the gene fragments PCABH and PCABL were recovered after electrophoresis, and then subjected to ligation with pcDNA3.1 vector to construct pcDNA3.1-PCABH and pcDNA3.1-PCABL.

1.2 Transient Transfection and Expression

Transient transfection and expression were performed for pcDNA3.1-PCABH,

pcDNA3.1-PCABL,

pcDNA3.1-human CD47-linker peptide-hIgG1Fc,

pcDNA3.1-human CD47ECD-linker peptide-7his,

pcDNA3.1-monkey CD47-linker peptide-hIgG1Fc, and

pcDNA3.1-monkey CD47ECD-linker peptide-7his.

Transient transfection and expression were performed in a Freestyle medium using FreeStyle™ 293 F cells. Twenty-four hours prior to transfection, 293F cells with a concentration of 0.6×10⁶ cells/ml were inoculated in a 125 ml beaker flask and subjected to shake cultivation at 37° C. and 130 rpm in a 5% CO₂ incubator. When the transfection was performed, 60 μL of 293fectin was added to 1 ml of OPtiMEM, mixed well, and incubated at room temperature for 5 minutes. At the same time, the light chains of the recombinant vectors, heavy chains of the recombinant vectors and transfection reagents were mixed at a ratio of 3:2:1 with a total DNA amount of 30 μg, and dissolved in 1 ml of OPtiMEM. Then, DNA and 293fectin were thoroughly mixed with a total volume of 2 ml, incubated at room temperature for 15 minutes, then all of the mixture was added to the cell culture wells, mixed well, and subjected to shake cultivation (at 130 rpm) at 37° C. in a 5% CO₂ incubator for 7 days. The culture solution was subjected to high-speed centrifugation and vacuum filtration through a microfiltration membrane.

1.3 Protein Purification

Purification was carried out using a Protein A column (protein purification liquid chromatography system/AKTA Purifier 10, GE) according to the method provided by the manufacturer to obtain a purified human PDL-1-mIgG2aFc fusion protein. An AKTA was washed with ultrapure water, and a 1 ml rProtianA Fast Flow prepacked column was connected to the AKTA. Washing: washing was performed with 5 column volumes of 1 M HAC. Equilibration: equilibration was performed with 5 column volumes of 20 mM PB 0.15 M NaCl (pH 7.0).

Loading: A cell expression supernatant sample was centrifuged at 1000 rpm for 5 min, the supernatant was taken and centrifuged at 8000 rpm for 30 min, after centrifugation, 20 ml of the supernatant was loaded, at a flow rate of 0.2 ml/min. Equilibration: equilibration was performed with 5 column volumes of 20 mM PB 0.15 M NaCl (pH 7.0) at 0.2 ml/min. Washing: washing was performed with 5 column volumes of 20 mM PB 1 M NaCl (pH 7.0). Equilibration: equilibration was performed with 5 column volumes of 20 mM PB 0.15 M NaCl (pH 7.0).

Eluting: Eluting with 20 mM sodium citrate buffer (pH 3.0) at a flow rate of 0.2 ml/min. Collection was started when 100 mAu was reached under UV 280 and stopped when absorbance value decreased to 100 mAu. The pH of the sample was adjusted to pH 6 to 8 with 1 M Tris. The purified samples were shown in FIGS. 1 to 2.

Example 2: Preparation of Monoclonal Hybridoma

1. Immunization of Mice:

The immunogen human CD47-hFc (prepared in Example 1) was emulsified with adjuvant at a volume ratio of antigen to adjuvant of 1:1. A first immunization was performed by using Freund's complete adjuvant to emulsify the antigen, and after 2 weeks, a second immunization was started, the antigen was emulsified using Freund's incomplete adjuvant; immunization was performed by two-point injection, and the amount of antigen injected per mouse was 10 μg, and the volume of injection per injection point was 25 μL.

Three days after the second immunization, the mice were subjected to orbital blood collection, and a small amount of blood samples were taken for serum titer detection. After the serum titer detected by an indirect ELISA method reached 1:200,000 or above, a booster immunization is performed for the mice.

Immunizations were performed on a total of 3 groups, with 5 mice in each group.

2. Preparation of Feeder Cells and Myeloma Cells

Preparation of feeder cells: the abdominal skin of a normal BALB/C mouse (killed by cervical dislocation) was scissored to expose the peritoneum, a DMEM medium was sucked using a syringe, and injected into the peritoneal cavity of the mouse, peritoneal macrophages was washed and sucked out, and collected in a centrifuge tube for centrifugation at 1500 rmp/min for 3 min, and the lower brown precipitate was resuspended for subsequent use. The above procedures were repeated to obtain peritoneal macrophages from 3 normal mice.

Preparation of myeloma cells: P3X63Ag8.653 was thawed one week in advance, cultured in a complete medium containing 1× 8-azaguanine, and cultured with DMEM comprising 15% fetal bovine serum two days before fusion, and the confluence of P3X63Ag8.653 was maintained at 70%-80% until the day of fusion.

3. Cell fusion and HAT screening:

Acquisition and preparation of splenocytes: two mice (labeled as L1 and L2) after booster immunization was taken, after collecting the immune serums of L1 and L2, L1 and L2 were killed and immersed in 75% alcohol, the skin and peritoneum at the abdominal side of the immunized mice were scissored to expose the spleen, the surrounding tissues were removed with a scissor tip to obtain the spleen. After grinding with a grinding rod and filtering through a cell sieve, the spleen was prepared into a single cell suspension.

Pretreatment of cell fusion: P3X63Ag8.653 in a culture flask was collected, and centrifuged at 1000 rpm for 5 min, the supernatant was discarded; after resuspending, survival cells were counted, spleen cell suspension was centrifuged at 2000 rpm/5 min, the supernatant was discarded; after resuspending, survival cells was counted. The number of survival P3X63Ag8.653cells and the number of survival spleen cells were recorded.

Cell fusion: the cells was mixed according to a ratio of spleen cells to P3X63Ag8.653 of 5:1, centrifuged at 2000 rpm for 5 min, the supernatant was discarded, the cell precipitate was shaked to disperse; 1 mL of preheated 50% PEG1500 solution was slowly dropwise added in a 37° C. water bath while swaying the bottom of the tube in the water at 37° C., with the above operation time being controlled at about 1 min; After standing for reacting for 30 s, a DMEM medium preheated at 37° C. was added into the tube in a manner from slow to fast addition, then the reaction was terminated. The cell suspension was centrifuged at 800 rpm for 3 min after the termination of the reaction, the supernatant was discarded, and the cell precipitate was gently shaked to disperse.

HAT medium screening: a HAT screening medium containing 1×HAT, 1× penicillin-streptomycin, 15% fetal bovine serum and 85% DMEM medium was prepared, mouse hybridoma cells and feeder cells were respectively resuspended in the above HAT screening medium, and then mixed. The obtained cell suspension was added into twenty 96-well cell culture plates at 300 μL/well, and cultured in a cell culture incubator at 37° C. After one week of culturing, the cell culture medium was replaced with HT medium for the first time, then cultured in a cell culture incubator at 37° C., and after three days of culturing, the culture medium was replaced HT medium for the second time.

4. Screening for Positive Cell Strains

Two weeks after the fusion, the cell supernatant was taken for a ELISA assay, and the binding status of the cell supernatant with the human CD47-his protein was detected. After the cells with positive ELISA results were selected, a second ELISA assay was performed. The cell supernatant with positive retest results was subjected to a FACS assay to detect the binding status of the cell supernatant to the CD47 protein on the surface of jurkat cells.

5. Amplification Culture

The cell strain detected as positive in both ELISA and FACS assays was transferred from a 96-well plate to a 24-well plate for culturing, and after confluence, transferred to a culture flask of 25 cm² for culturing.

6. Subcloning by Limited Dilution

The positive cell strains were mixed well by repeated pipetting, and a small amount was taken for survival cells count. About 100 cells were added into 40 mL of complete medium, mixed well, and sown in two plates. Additionally, about 100 cells were added into 20 mL of complete medium, mixed well and sown in one plate. About 1000 cells were added into 20 mL of complete medium, mixed well and sown in one plate. Samples were sown in totally four plates at three different cell densities: 0.5 cell/well, 1 cell/well, and 10 cells/well. The 96-well plates were placed in a 5% CO₂ incubator at 37° C. for culturing.

7. Clone Detection and Amplification Culture

The supernatant of the monoclonal cell well was taken for ELISA and FACS assay, and the binding status of the cell clonal antibody with the human and monkey CD47-his label and the binding status with the CD47 protein on the surface of jurkat cells were detected, respectively. The positive cell strains detected as positive in both ELISA and FACS (7 cell strains in total, respectively labeled as 059-1.11.1, 059-1.20.1, 059-1.30.1, 059-1.43.1, 059-1.51.2, 059-1.82.1, 059-1.100.5) were transferred from the 96-well plate to a 24-well plate for culturing, and after confluence, transferred to a 25 cm² culture flask for culturing.

8. Identification of Subclasses

A plate was coated with goat-anti-mouse IgG (Fc) at 2 μg/ml, 50 μL per well, stayed overnight at 4° C., and blocked with BSA; the supernatant of the cells to be detected was added at room temperature and incubated for 2 hours, enzyme-labeled subclass secondary antibodies IgG1, IgG2a, IgG2b, IgG2c, IgG3, κ, and λ (abcam) were added, color development was performed, and the absorbance was read at 450 nm, the subclass of the detected cell strains was determined as IgG3 or IgM or IgG1, and K.

Wherein, the heavy chain constant region of the antibody 059-1.82.1 was mouse IgG3, the light chain constant region was the constant region of the mouse κ chain; the heavy chain constant regions of 059-1.30.1, 059-1.43.1 and 059-1.20.1 were mouse IgG1, the light chain constant regions were the constant region of the mouse κ chain; the heavy chain constant regions of 059-1.11.1, 059-1.51.2, and 059-1.100.5 were mouse IgM. The amino acid sequence of the heavy chain variable region was one of SEQ ID NOs: 1 to 7, and the amino acid sequence of the light chain variable region was one of SEQ ID NOs: 8 to 14.

Washing was performed with PBST for three times before each adding solution step.

9. Cell Cryopreservation

Preparation of cryopreservation solution: 90% fetal bovine serum, 10% DMSO. The cells in a culture flask were resuspended. After the cells were counted, centrifugation was performed at 1500 rpm/min for 3 min, and the supernatant was discarded; followed by suspending with fetal bovine serum containing 10% DMSO by repeated pipetting, the obtained suspension was cryopreserved in a cryopreservation box with 5×10⁶ cells per tube, stayed overnight at −80° C., and transferred into liquid nitrogen on the next day.

10. Preservation of Genes of Monoclonal Hybridoma

RNA was extracted from a positive monoclonal cell strain RNA extraction solution, and was reverse transcribed into cDNA, which was permanently stored at −80° C.

Example 3 Preparation and Identification of Monoclonal Antibodies

1. Preparation of Antibodies by In Vitro Culture

The hybridoma cell strain prepared in Example 2 was thawed, and the method for thawing was as follows: the DMEM medium containing 10% fetal bovine serum and 1% penicillin-streptomycin was thawed and cultured in a vial, after the cell confluence reaches about 90%, passage amplification culture was performed until a total of about 200 mL of the cell culture supernatant was reached.

2. Antibody Purification

When cells were cultured for about 7 days, the cell supernatant was collected, the volume (about 200 mL) thereof was measured, NaCl was added to the supernatant to a concentration of 2.5 M; after vacuum filtering through a 0.22 μm mixed cellulose microfiltration membrane, the supernatant was stored at 4° C., and antibody purification was performed by Protein A affinity chromatography. Loading: the cell culture supernatant containing 2.5 M NaCl was filtered through a 0.22 μm filtration membrane, concentrated to 30 ml, and then directly loaded; washing: washing with 2.5 M PBS (pH 7.4) till UV280 baseline being 0; eluting: eluting with 0.1 M citric acid solution (pH 3.5). The eluent was collected in 2 ml for each fraction, 100 μL of 1 M Tris solution was added to each tube; and the collected solution was concentrated. Elution was performed with PBS until the ratio of the initial component was less than 0.1%. SDS-PAGE method was carried out to verify the purity of the purified antibody (FIG. 3).

Example 4 Gene Sequencing of Monoclonal Antibody and Preparation of Recombinant Antibody

1. Gene Sequencing of Monoclonal Antibody

After immunization, fusion and monoclonalization, 059-1.11.1, 059-1.20.1, 059-1.30.1, 059-1.43.1, 059-1.51.2, 059-1.82.1, 059-1.100.5 were selected based on the results of affinity experiments, total RNA of monoclonal antibody cell strains was extracted, and reverse transcribed into cDNA, and then the heavy chain variable region and the light chain variable region of the antibody were amplified using PCR with the cDNA as a template.

Sequence analysis of the heavy chain and the light chain of the antibody genes. The total RNA of 7 monoclonal antibody cell strain was extracted using Invitrogen's Trizol® reagent kit (15596-026) according to the instructions thereof. The extraction results were shown in FIG. 4.

Then, using Takara's 5′RACE FULL kit (D315), with the total RNA as a template, reverse transcription was performed to give a first chain cDNA using the random primers in the kit, then amplification of the heavy chain was performed using PCR with a primer designed for the constant region (mIgG R) and a linker primer in the kit, and the amplification of the light chain was performed using PCR with a primer designed for constant region (mIgK R) and a linker primer in the kit. The sequences of mIgG R and mIgK R were as follows:

mIgG R: (as represented by SEQ ID NO: 41) CTCAGGGAARTARCCYTTGAC; and mIgK R: (as represented by SEQ ID NO: 42) TCACTGCCATCAATCTTCCAC.

The electrophoretic detection of the heavy chain variable region and the light chain variable region of the 7 monoclonal antibody cell strains after PCR amplification were shown in FIG. 5.

The PCR fragment was recovered using an agarose gel recovery kit, then TA cloning was performed, and a single clone was selected for PCR identification. The primers for identification were M13-F and M13-R, and some samples selected from the cell strains identified as correct were sent to Invitrogen for sequencing. The protein sequences of the heavy chain variable region were finally determined to be SEQ ID NOs: 1 to 7; the protein sequences of the light chain variable region were SEQ ID NOs: 8 to 14; the heavy chain nucleotide sequences were SEQ ID NOs: 15 to 21; and the light chain nucleotide sequences were SEQ ID NOs: 22 to 28.

Identification primer M13-F was as follows: (as represented by SEQ ID NO: 43) 5′TGTAAAACGACGGCCAGT3′. Identification primer M13-R was as follows: (as represented by SEQ ID NO: 44) 5′CAGGAAACAGCTATGACC3′,.

TABLE 1 Sequences Amino acid sequences Nucleotide sequences heavy chain light chain heavy chain light chain variable region variable region variable region variable region 059-1.100.5 SEQ ID NO: 1 SEQ ID NO: 8 SEQ ID NO: 15 SEQ ID NO: 22 059-1.82.1 SEQ ID NO: 2 SEQ ID NO: 9 SEQ ID NO: 16 SEQ ID NO: 23 059-1.51.2 SEQ ID NO: 3 SEQ ID NO: 10 SEQ ID NO: 17 SEQ ID NO: 24 059-1.43.1 SEQ ID NO: 4 SEQ ID NO: 11 SEQ ID NO: 18 SEQ ID NO: 25 059-1.30.1 SEQ ID NO: 5 SEQ ID NO: 12 SEQ ID NO: 19 SEQ ID NO: 26 059-1.20.1 SEQ ID NO: 6 SEQ ID NO: 13 SEQ ID NO: 20 SEQ ID NO: 27 059-1.11.1 SEQ ID NO: 7 SEQ ID NO: 14 SEQ ID NO: 21 SEQ ID NO: 28

Example 5 Affinity Determination and Competitive ELISA Assay

1. Detection of Binding with Human CD47 (ELISA)

Coating: hCD47-his was diluted to 1 μg/ml with PBS, added to 96 wells of an ELISA plate with 100 μL per well, and incubated overnight at 4° C. Blocking: after the plate was washed for three times, it was blocked with 1% BSA+PBS at 300 μL per well, and incubated at room temperature for 2 hours. Addition of candidate antibody: after the plate was washed for three times, the cell culture supernatant of the candidate antibody or a positive control or a negative control was added at 100 μL per well, and incubated at room temperature for 2 hours. Addition of secondary antibody: after the plate was washed for three times, goat-anti-mouse IgG Fc and HRP (1:10000) were added at 100 μL per well, and reacted at room temperature for 1 hour. Color development: after the plate was washed for four times, a TMB color developing solution was added at 100 μL per well, followed by color development at room temperature in the dark for 10 minutes. Termination: the reaction was terminated by directly adding a stop solution with 100 μL per well. Detection: immediately after termination of the reaction, the ELISA plate was placed in an ELISA reader, and the OD value was measured at 450 nm. The original data was saved as shown in Table 2 below:

TABLE 2 ELISA detected OD450 values of candidate clones and human CD47 Antibody name OD450 059-1.11.1 3.6718 059-1.20.1 4.0 059-1.30.1 4.0 059-1.43.1 4.0 059-1.51.2 0.7709 059-1.82.1 4.0 059-1.100.5 0.81 Negative control 0.086

2. Detection of Binding with Monkey CD47 (ELISA)

Coating: Monkey CD47-his was diluted to 1 μg/ml with PBS, added to 96 wells of an ELISA plate at 100 μL per well, and incubated overnight at 4° C. Blocking: after the plate was washed for three times, it was blocked with 1% BSA+PBS at 300 μL per well, and incubated at room temperature for 2 hours. Addition of candidate antibody: after the plate was washed for three times, the cell culture supernatant of the candidate antibody or a negative control was added at 100 μL per well, and incubated at room temperature for 2 hours. Addition of secondary antibody: after the plate was washed for three times, goat-anti-mouse IgG Fc and HRP (1:10000) were added at 100 μL per well, and reacted at room temperature for 1 hour. Color development: after the plate was washed for four times, a TMB color developing solution was added at 100 μL per well, followed by color development at room temperature in the dark for 10 minutes. Termination: the reaction was terminated by directly adding a stop solution at 100 μL per well. Detection: immediately after termination of the reaction, the ELISA plate was placed in an ELISA reader, and the OD value was measured at 450 nm. The original data was saved as shown in Table 3 below:

TABLE 3 ELISA detected OD values of candidate clones and monkey CD47 Antibody name OD450 059-1.11.1 4 059-1.20.1 4 059-1.30.1 4 059-1.43.1 4 059-1.51.2 0.6336 059-1.82.1 3.896 059-1.100.5 0.6166 Negative control 0.0883

3. Detection of Affinity with Human CD47 Protein

The affinity constant of the human CD47 antibody was detected using a Biacore T200 instrument; an anti-mouse Fc antibody (GE Healthcare Company, BR-1008-38) was coupled to a CMS biosensor chip (GE Healthcare Company) via amino covalent binding, the anti-mouse Fc antibodies on the chip captured candidate monoclonal antibodies or positive control B6H12 (commercialized CD47 antibody, purchased from Abeam, catalog No. ab3283); human CD47 with different concentrations was flowed through the candidate antibody on the chip at a flow rate of 30 μL/min, and human CD47 bound with the candidate antibody with a binding time of 120 s and a dissociation time of 300 s. A dynamic fitting was performed using BIAevalution software (GE Healthcare Company), and 059-1.82.1 had the highest affinity. The obtained affinity constants were shown in Table 4 below.

TABLE 4 Determination results of affinity between candidate clones and human CD47 Ka Kd KD Antibody name (l/Ms) (l/s) (nM) 059-1.11.1 2.60E5 0.004015 15.5 059-1.20.1 2.17E5 0.00548 25.3 059-1.30.1 4.24E5 0.01276 30.1 059-1.43.1 2.36E5 0.006657 28.3 059-1.51.2 3.70E5 0.01009 27.3 059-1.82.1 2.56E5 0.003643 14.2 059-1.100.5 1.57E5 0.0069 44.0 Positive control 1.32E5 0.003636 27.5

Example 6 Dose-Dependent Blocking of the Binding Between Human CD47 and Human SIRP (ELISA Method)

Coating: Human CD47-hFc was diluted to 2 μg/ml with PBS, added to 96 wells of an ELISA plate at 100 μL per well, and incubated overnight at 4° C. Blocking: after the plate was washed for three times, it was blocked with 1% BSA+PBS at 300 μL per well, and incubated at room temperature for 1 hour. Mixing of candidate antibodies with SIRP-his: purified candidate antibodies were diluted to 20 μg/ml with PBST, and a 3-fold gradient dilution was performed with PBST solution, totally 7 gradients; human SIRP-his protein was diluted to 500 ng/mL with PBST, and the candidate antibodies with different dilution gradients were mixed with human SIRP-his protein at a ratio of 1:1, and incubated at room temperature for 30 min. Addition of a mixture of the candidate antibodies and human SIRP-his protein: 100 μL per well, reaction is performed at room temperature for 1 hour, and a mixture of a IgG isotype control and human SIRP-his protein was added to a control well. Addition of secondary antibody: after the plate was washed for three times, an anti-His tag antibody and HRP (1:3000) were added at 100 μL per well, and reacted at room temperature for 1 hour. Color development: after the plate was washed for four times, a TMB color developing solution was added at 100 μL per well, followed by color development at room temperature in the dark for 10 minutes. Termination: the reaction was terminated by directly adding a stop solution at 100 μL per well. Detection: immediately after termination of the reaction, the ELISA plate was placed in an ELISA reader, the OD value was measured at 450 nm, and the original data was saved. Data Processing: the original data was inputted into software SoftMax Pro 6.2.1 for data processing. The results were shown in Table 5 and FIG. 6 (the data in the figure was the final calculated data).

TABLE 5 Results about blocking the binding between CD47 and SIRP for candidate antibody EC50 Antibody name (nM) 059-1.11.1 2340 059-1.20.1 1190 059-1.30.1 1030 059-1.43.1 850 059-1.51.2 — 059-1.82.1 1030 059-1.100.5 — Positive control 1190 Negative control —

The results showed that the candidate antibodies 059-1.11.1, 059-1.20.1, 059-1.30.1, 059-1.43.1 and 059-1.82.1 all had strong blocking effects, and 059-1.51.2 and 059-1.100.5 had no effects on blocking the binding of human CD47 to human SIRP.

Example 7 Determination of Binding to CD47 on Cell Surface (FACS Method)

Jurkat cells were cultured and collected, subjected to centrifugation at 2000 rpm for 5 min, and washed once with PBS, and then survival cells was counted; 2.0×10⁵ cells were added to each tube, and centrifuged at 2000 rpm for 5 min, the supernatant was discarded, 100 μL supernatant of candidate antibody cells was added to each tube, 100 μL of 1 ng/mL B6H12 antibody (commercialized CD47 antibody, purchased from Abcam, catalog No.: ab3283) was added to a positive control tube, 100 μL of DMEM medium was added to a negative control tube, and reacted at room temperature for 1 hour; centrifugation was carried out at 2000 rpm for 5 min, washing with PBS was performed for 3 times, 100 μL of 4 ng/mL goat-anti-mouse IgG Fc and FITC secondary antibody were added to each tube, and reacted at room temperature for 1 hour; centrifugation was carried out at 2000 rpm for 5 min, washing with PBS was performed for 3 times, 300 μL of PBS was added to each tube, and the obtained sample was transferred to a sample injection tube of a flow cytometer, and detection was performed on the flow cytometer. The results were shown in Table 6 and FIG. 7.

TABLE 6 Results about binding of candidate antibodies with CD47 on the surface of Jurkat cells Antibody name MFI 059-1.11.1 6633 059-1.20.1 15315 059-1.30.1 9951 059-1.43.1 18533 059-1.51.2 144 059-1.82.1 9547 059-1.100.5 216 Positive control (B6H12) 13000 Negative control 57

The results showed that the candidate antibodies had significant binding activity to the CD47 on cell surface.

Example 8 Experiments about CD47 Antibody Mediated Phagocytosis of Jurkat Cells by Mouse Peritoneal Primary Macrophages

1. Preparation of C57 Mouse Peritoneal Primary Macrophages

The animal was killed by cervical dislocation, with the mouse tail in hand, the whole mouse was immersed in 70% alcohol for 3 to 5 seconds. The animal was placed on a dissection table, the limbs were fixed with needles, with both hands holding forceps, the skin was torn apart and pulled to two sides to expose the peritoneum, the peritoneal wall was scrubbed with 70% alcohol, and then 10 ml of Eagle solution was injected into the abdominal cavity with a syringe, while the peritoneal wall was kneaded with fingers from both sides to allow the liquid to flow sufficiently in the abdominal cavity. The abdominal wall was gently picked up with a needle, so that the animal body slightly leaned to one side, and the liquid in the abdominal cavity was collected and sucked into the needle tube. The needle was carefully pulled out, and the liquid was injected into a centrifuge tube. Followed by centrifugation (250 g) at 4° C. for 4 minutes, the supernatant was discarded, and 10 ml of Eagle medium was added, and survival cells were counted. In order to obtain 3×10⁵ attached cells per square centimeter, cells were inoculated at a final concentration of 2.5×10⁶/ml. In order to purify the cultured cells and remove other leukocyte, several hours after inoculation, the culture solution was removed, the rest was washed with Eagle solution for 1 to 2 times, then a fresh Eagle culture solution was added, and cultivation was performed at 37° C. in a 5% CO₂ incubator.

2. Macrophage Phagocytosis Experiment

The effect of CD47 antibody prepared in Example 5 on the phagocytosis of Jurkat cells by C57BL mouse peritoneal primary macrophages was examined by fluorescence imaging. Mouse macrophages were stained with PKH26 dye one day in advance (4 micromoles, 5 min), and inoculated in a 96-well plate at 20,000 cells/well; the next day, Jurkat cells (2 micromoles, 10 min) were stained with CFSE dye, after washing, the Jurkat cells were resuspended in a serum-free medium and added to macrophages at 80,000 cells/well. 2 hours before the Jurkat cells were inoculated, the serum-containing medium for macrophages was replaced with a serum-free medium and various antibodies were added to the suspension of two cells at a concentration of 10 μg/ml. After 2 hours of culturing, Jurkat cells that were not phagocytized were washed away, and after cell imaging by fluorescence microscopy, the level of the effect of CD47 antibody on promoting phagocytosis were quantified by counting how many Jurkat cells were phagocytized per 100 macrophages, i.e., phagocytic index. The results were shown in FIG. 8 (a graph showing phagocytic effect) and Table 7 (phagocytic index). As reported by literatures, B6H12 (commercialized CD47 antibody, purchased from Abcam, catalog No.: ab3283) has a weaker effect on promoting phagocytosis. Four selected antibody molecules in Example 5 have a good effect on promoting phagocytosis, especially 059-1.30.1, 059-1.43.1, and 059-1.82.1.

TABLE 7 CD47 antibodies promote macrophage phagocytosis of Jurkat cells phagocytic Antibody name index 059-1.20.1 43 059-1.30.1 70 059-1.43.1 79 059-1.82.1 74 Positive control (B6H12) 20 Negative control 0

Example 9 In Vitro Induction of Apoptosis of Jurkat Cells by CD47 Antibody

Jurkat cells at logarithmic growth phase were collected, and washed with a serum-free medium, a single cell suspension was prepared with 5% FBS-1640, and the cells were resuspended to 10×10⁵/ml, and added to a 24-well plate for culturing at 5×10⁵/well, i.e., 500 μL/well. The experiment was designed as follows: CD47 antibody (final concentration: 10 μg/ml) was added at 50 μL/well, an anti-Fas positive control well was set, and the same volume of medium was added to the wells without the addition of antibodies. After 5 h, the cell suspension was collected into a 1.5 ml EP tube and centrifuged (500 g×5 min). The supernatant was discarded, cells were resuspended with 100 μL of PBS and mixed well in each tube, and the cells were stained with annexin-V (Roche Diagnostics) at 4° C. in the dark for 30 minutes. Washing with PBS was performed for three times, 500 μL of PBS was added to each tube to resuspend and mix cells, and PI (final concentration of 1 μg/ml) was added 10 to 15 min before loading on a flow cytometer. Measuring the ratio of annexin-V positive cells and annexin-V and PI double positive cells to the total cells (i.e., the apoptotic rate of Jurkat cells) was performed on the flow cytometer.

TABLE 8 CD47 antibody induced apoptosis of Jurkat cells Apoptotic rate Antibody name (%) 059-1.20.1 33 059-1.30.1 48 059-1.43.1 37 059-1.82.1 24 Control antibody (B6H12) 8 Negative control 5

B6H12 did not induce apoptosis of Jurkat cells, while four tested 059 antibodies showed induction of apoptosis of Jurkat cells in different degrees, and 059-1.30.1 had the strongest effect. 059-1.30.1 showed the best effect on promoting macrophage phagocytosis and inducing apoptosis of Jurkat cells.

The above are only preferred embodiments of the present invention, and it should be noted that a person skilled in the art can also make various improvements and modifications without departing from the principles of the present invention. These improvements and modifications should also be considered to be within the scope of protection of the present invention. 

What is claimed is:
 1. An anti-CD47 monoclonal antibody, wherein, the hypervariable regions of the heavy chain variable region are HVR-H1, HVR-H2, and HVR-H3, the hypervariable region HVR-H1 sequence being represented by SEQ ID NO: 48, the HVR-H2 sequence being represented by SEQ ID NO: 49; and the HVR-H3 sequence being represented by SEQ ID NO: 50; and wherein the hypervariable regions of the light chain variable region are HVR-L1, HVR-L2, and HVR-L3, the hypervariable region HVR-L1 sequence being represented by SEQ ID NO: 57; the HVR-L2 sequence being represented by SEQ ID NO: 58; and the HVR-L3 sequence being represented by SEQ ID NO:
 59. 2. An anti-CD47 monoclonal antibody, wherein the hypervariable regions of the heavy chain variable region are HVR-H1, HVR-H2, and HVR-H3, the hypervariable region HVR-H1 sequence being represented by SEQ ID NO: 45, the HVR-H2 sequence being represented by SEQ ID NO: 46; and the HVR-H3 sequence being represented by SEQ ID NO: 47; and wherein the hypervariable regions of the light chain variable region are HVR-L1, HVR-L2, and HVR-L3, the hypervariable region HVR-L1 sequence being represented by SEQ ID NO: 54; the HVR-L2 sequence being represented by SEQ ID NO: 55; and the HVR-L3 sequence being represented by SEQ ID NO:
 56. 3. An anti-CD47 monoclonal antibody, wherein, the hypervariable regions of the heavy chain variable region are HVR-H1, HVR-H2, and HVR-H3, the hypervariable region HVR-H1 sequence being represented by SEQ ID NO: 51, the HVR-H2 sequence being represented by SEQ ID NO: 52; and the HVR-H3 sequence being represented by SEQ ID NO: 53; and wherein the hypervariable regions of the light chain variable region are HVR-L1, HVR-L2, and HVR-L3, the hypervariable region HVR-L1 sequence being represented by SEQ ID NO: 60; the HVR-L2 sequence being represented by SEQ ID NO: 61; and the HVR-L3 sequence being represented by SEQ ID NO:
 62. 4. The anti-CD47 monoclonal antibody according to claim 1, wherein, the heavy chain type is IgG1, IgG3 or IgM; and the light chain type is K.
 5. A molecule including the nucleotide sequence encoding the anti-CD47 monoclonal antibody according to claim
 1. 6. The molecule according to claim 5, wherein the nucleotide sequence comprises (I) a nucleic acid molecule encoding of the heavy chain variable region and represented by SEQ ID NO: 16; and a nucleic acid molecule encoding of the light chain variable region and represented by SEQ ID NO: 23; or (II) a nucleotide sequence which encodes the same protein as the nucleotide sequence of (I) but differs from the nucleotide sequence of (I) due to the degeneracy of the genetic code.
 7. An expression vector, wherein, the expression vector comprises the nucleotide sequence according to claim
 5. 8. A host cell, wherein, the host cell is transformed with the expression vector according to claim
 7. 9. A hybridoma cell strain, which produces the anti-CD47 monoclonal antibody according to claim
 1. 10. A preparation method of the anti-CD47 monoclonal antibody according to claim 1, wherein, the preparation method comprises: step 1: after immunizing a mouse with the antigen of an amino acid sequence represented by SEQ IN Nos: 29 to 32, obtaining spleen cells of the mouse; step 2: fusing the spleen cells with myeloma cells, screening for a hybridoma cell strain capable of binding to CD47, and culturing the cell strain in vitro to obtain the anti-CD47 monoclonal antibody.
 11. A combination, which is made by marking the anti-CD47 monoclonal antibody according to claim 1 with a chemical or biological marker.
 12. The combination according to claim 11, wherein, the chemical marker is an isotope, an immunotoxin and/or a chemical drug; and the biological marker is biotin, avidin or an enzyme label.
 13. A conjugate, which is prepared by coupling the anti-CD47 monoclonal antibody according to of claim 1 to a solid medium or a semi-solid medium.
 14. A kit, wherein, the kit comprises the anti-CD47 monoclonal antibody according to claim
 1. 15. A medicament, wherein, it comprises the anti-CD47 monoclonal antibody according to claim
 1. 16. A method for diagnosing disease, characterized by detecting the expression of CD47 with the kit according to claim 14, and determining whether or not the disease is developed according to the expression level of CD47, wherein the disease is leukemia, lymphoma, breast cancer, lung cancer, gastric cancer, intestinal cancer, esophageal cancer, ovarian cancer, cervical cancer, kidney cancer, bladder cancer, pancreatic cancer, glioma and/or melanoma.
 17. A method for preventing and treating disease, characterized by administering the medicament according to claim 15, wherein the disease is leukemia, lymphoma, breast cancer, lung cancer, gastric cancer, intestinal cancer, esophageal cancer, ovarian cancer, cervical cancer, kidney cancer, bladder cancer, pancreatic cancer, glioma and/or melanoma. 